Radiation Biology Flashcards

1
Q

radiation biology

A

portion of science which studies the effects of ionizing radiation on living organisms

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2
Q

how do we know that radiation affects living organisms

A

early pioneers
1925 factory workers
nuclear bomb
spills and disasters

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3
Q

two mechanisms of radiation injury

A

ionization
free radical formation

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4
Q

ionization

A

results in formation of a positive atom and dislodged negative electron
dislodged electron interact with other atoms within tissues

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5
Q

compton scatter

A

when an x-ray photon collides with an outer-shell electron and ejects the electron from its orbit

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6
Q

formation of free radicals

A

x-ray photons ionizes H2O
hydrogen and hydroxyl free radicals

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7
Q

what is a free radical

A

an uncharged atom that exists with a single unpaired electron in its outermost shell: reactive and unstable

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8
Q

formation of free radicals Part A

A

x-ray photons interact with water in cells
ionization occurs
resulting in free radical formation

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9
Q

formation of free radicals Part B

A

free radicals
combine to form
toxins such as H2O2 (hydrogen peroxide)

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10
Q

damage to living tissue caused by exposure to ionizing radiation may result from

A

a direct hit and absorption of an x-ray photon within a cell
absorption of an x-ray photon by water within a cell accompanied by free radical formation

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11
Q

theories of radiation injury

A

direct theory and indirect theory

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12
Q

direct theory

A

cell damage results when ionizing radiation directly hits critical area within the cell
occurs infrequently

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13
Q

indirect theory

A

x-rays photons are absorbed within the cell and cause the formation of toxins which damage the cell
-when photons are absorbed by water within a cell, free radical formation results
-free radicals combine to form toxins that damage cells

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14
Q

dose-response curve

A

used to correlate the damage of tissue with the does of radiation received
liner nonthreshold relationship

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15
Q

stochastic radiation effects

A

direct function of the dose
no dose threshold; effects do not depend on magnitude of absorbed does

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16
Q

nonstochastic radiation effects

A

have a threshold and increase severity with increasing absorbed dose
occur after threshold of exposure has been exceeded
cause significant cell damage

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17
Q

sequence of radiation injury

A

latent period: time between exposure and observable clinical signs, depends of dose of radiation
period of injury: a variety of cellular injuries may result
recovery period: cells can repair the damage caused by radiation
cumulative effects: effects of radiation exposure are additive, unrepaired damage accumulates in tissues

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18
Q

determining factors of radiation injury

A

total dose
dose rate
amount of tissue irradiated
cell sensitivity
age

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19
Q

short term effects

A

not applicable to dentistry

20
Q

long term effects

A

small doses absorbed over a long period of time
effects seen after years, decades, generations

21
Q

somatic effects

A

all cells in body except reproductive cells
produce poor health in irradiated individual
cancer, leukemia, cataracts

22
Q

genetic effects

A

reproductive cells
not seen in exposed individual
passed on to future generations
genetic damage cannot be repaired

23
Q

radiosensitive cells

A

blood cells
immature reproductive cells
young bone cells
small lymphocyte

24
Q

radioresistant cells

A

bone cells
muscle cells
nerve cells

25
radiosensitive organs
lymphoid tissues bone marrow testes intestines
26
radioresistant organs
salivary glands kidney liver
27
critical organs
an organ that, if damaged, diminishes the quality of a person's life skin thyroid gland, lens of the eye, bone marrow
28
units of measurement
exposure dose dose equivalent
29
traditional system units of radiation measurement
roentgen radiation absorbed dose (rad) roentgen equivalent (in) man (rem)
30
SI system (newer) units of radiation measurement
coulombs/kilogram (C/kg) gray (Gy) sievert (Sv)
31
exposure measurement
measurement of ionization in the air produced by x-rays
32
roentgen measurement
measures radiation by determining the amount of ionization that occurs in air does not describe amount of radiation absorbed
33
no SI equivalent
exposure is stated in coulombs per kilogram (C/kg)
34
dose measurement
unit is the rad (radiation absorbed dose) amount of energy absorbed by tissue
35
dose equivalent measurement
used to compare the biological effects of different types of radiation the roentgen equivalent in man (rem) and the sievert (Sv)
36
rem
the product of absorbed dose (rads) and a quality factor (QF) specific for the type of radiation
37
natural background radiation
form of ionizing radiation that is ubiquitous in the environment -cosmic radiation -terrestrial radiation -ingestion -inhalation
38
artificial or human-made radiation
resulting from modern technology
39
risk and risk estimate
likelihood of adverse effects or death resulting from exposure death is more likely to occur from common activities than from dental imaging procedures
40
thyroid gland risk elements
primary beam does not irradiate the thyroid gland, but thyroid radiation exposure does occur 6000 mrad to produce cancer in thyroid gland
41
bone marrow risk elements
areas of maxilla and mandible exposed is small percentage of active bone marrow does of 5000 mrad or more
42
skin cancer risk elements
more than 500 dental radiographs in a 14-day period would have to be exposed to cause erythema
43
eyes risk elements
more than 200,000 mrad for cataract formation
44
receptor choice
reduced 50-90% when using digital sensors when compared to film
45
collimation
rectangular collimation reduces by 60-70%
46
technique patient exposure and dosage
limited by increasing source-receptor distance/long cone paralleling technique and increase source-receptor distance reduces the skin dose